For 'new-line' in text fields pres [ALT] and [ENTER] keys on keyboard (do not insert spaces to create line shift) Please do not change the format of the form (including name of page) as this may prevent proper registration of project data. For new proposals, please complete the tab for 'Project Document', 'Budget' and 'Locations' Mandatory fields are marked with an asterisk* Project Document 1. COVER (to be completed by organization submitting the proposal) (A) Organization* SomaliAid (B) Type of Organization* UN Agency International NGO Local NGO Local NGO (C) Project Title* To increase access to primary health care services (Out-patient department, antenatal care and deliveries) to vulnerable groups amongst the For standard allocations, please use the communities in District of . CAP title. (D) CAP Project Code Not required for Emergency Reserve proposals outside of CAP (E) CAP Project Ranking Required for proposals during Standard Allocations (F) CHF Funding Window* Emergency Reserve (G) CAP Budget $ - Must be equal to total amount requested in current CAP (H) Amount Request* $ 150,000.00 Equals total amount in budget, must not exceed CAP Budget (I) Project Duration* 6 months No longer than 6 months for proposals to the Emergency Reserve (J) Primary Cluster* Health (K) Secondary Cluster Only indicate a secondary cluster for multi-cluster projects (L) Beneficiaries Direct project beneficiaries. Men Women Total Specify target population Total beneficiaries 20089 20089 40178 disaggregated by number, and gender. If desired more detailed Total beneficiaries include the following: Pregnant and Lactating Women information can be entered about 0 600 600 types of beneficiaries. For Children under 5 information on population in HE 4911 4911 9822 Women of Child-Bearing Age and AFLC see FSNAU website 0 17389 17389 (http://www.fsnau.org) Staff (own or partner staff, authorities) 7 8 15

(M) Location Awdal Banadir Bay L Juba M Juba Sanaag Togdheer Precise locations should be listed Regions Bari Galgaduud Hiraan L Shabelle M Shabelle Nugaal Sool W Galbeed on separate tab (N) Implementing Partners 1 none Budget: $ - (List name, acronym and budget) 2 Budget: $ - 3 Budget: $ - 4 Budget: $ - 5 Budget: $ - 6 Budget: $ - 7 Budget: $ - 8 Budget: $ - 9 Budget: $ - 10 Budget: $ - Total Budget: $ - Remaining Budget: $ 150,000 Focal Point and Details - Provide details on agency and Cluster focal point for the project (name, email, phone). (O) Agency focal point for project: Name* Ahmed Muhumed Title Executive director Email* [email protected] Phone* +254 717 667 204 Address

3. BACKGROUND AND NEEDS ANALYSIS (please adjust row size as needed) (A) Describe the project rationale According to WHO 2012, health service provision is weak with one physician per about 25 000 and a Nurse/midwife per 9 based on identified issues, 000 people. Health facilities are in poor conditions, with shortage of human resources, essential medicines, medical equipments describe the humanitarian and laboratories supplies. Supporting and maintaining health services, as well as building the capacity of healthcare providers in situation in the area, and list newly accessible areas is essential to save the lives of thousands of vulnerable people such as women, children and the elderly. groups consulted. (maximum Maternal and child morbidity and mortality are unacceptably and one of the key contributing factors is the low access to quality 1500 characters) * health services, especially in remote insecure areas. One out of five children dies before seeing their fifth birthday. Furthermore, one out of twelve women dies due to pregnancy related causes. The lack of adequate pre-natal and maternal care, coupled with a high fertility rate of 6.3 put women at high recurrent risk. Obstetric hemorrhages and hypertension during pregnancy are the leading direct causes of maternal death. In Middle Juba, particularly Jilib district access constraints remained significant. All health Facilities in Jilib district ceased operation on 14th August 2013 when MSF announced closure of its operations. DOH/Health Cluster committee have approached Somali Aid to fill the gaps and provide health service . Jilib district and its catchment areas including Marerey and surrounding Riverine villages are still under control

(B) Describe in detail the Population of Middle Juba and the entire Jilib District have limited access to healthcare due to insecurity and the control by the capacities and needs in the armed grouped. This inaccessibility was worsened by the withdrawal of the only organization (MSF) in the District in Mid August. proposed project locations. List any baseline data. If necessary, Before its withdrawal, MSF was treating over 6000 OPD (Out-patient department) cases per month, 200 IPD admissions, 650 attach a table with information for ANC consultations and 80-100 deliveries. It also provided TB treatment nutritional, obstetric surgery and routine EPI vaccination. each location. (maximum 1500 Considering this critical need to provide essential healthcare, the project will give particular attention to women, children and the characters) * elderly who are usually the most affected. The project is also aimed at fill health gap and ensure minimum provision of healthcare in the District.

(C) List and describe the activities Somali Aid has undertaken a number of primary health care assistance to the needy population in the country since its inception that your organization is currently and funded by number of reputable donors both internally and externally with resultant impact such as WHO, OXFAM, FAO, etc. implementing to address these Currently there are number of project undergoing such as nutrional care in funded by SIDA through Oxfam, the only needs.(maximum 1500 leprosy program in Somalia funded by WHO/ world Concern in Middle Juba and livelihood programmes in Gedo region. characters) 4. LOGICAL FRAMEWORK (to be completed by organization) (A) Objective* To enhance access to primary health care services by vulnerable population of Jilib district. (B) Outcome 1* Improved access to health care services for a total of 9822 children, 20089 women and 20089 men based in Jilib District of Middle Juba South Cenral Somalia (C) Activity 1.1* Provision of primary healthcare through support to out-patient department and Antenatal care services for a total of 50,000 people disintegrated to 20089 women(17387 pregnant women), 20089 men and 9822 children in Middle in Jilib. (D) Activity 1.2 Provision of referral services to 1818 severely ills patients i.e women with complicated obstetric cases, acute traumas , other acute and chronic illness, etc to either Kismayu or Afmadow by Ambualnce. (E) Activity 1.3 Provision of basic Obstetric and neonatal (BeMoNc) services to 600 pregnant women( in pre-natal and post-natal period) and care of the newborn babies in Jilib district catchment area. (F) Indicator 1.1* Health Number of health facilities supported Target* 1 (G) Indicator 1.2 Health Expected number of consultation per clinician per day Target 53 (H) Indicator 1.3 Health Expected number of deliveries per month Target 100 (I) Outcome 2 Improve knowledge and practices through capacity building of health staff and community awareness to the population in Jillib. (J) Activity 2.1 Train 19 Community health workers (60% are women) and dissemination of repacked information education and communication (K) Activity 2.2 Train staff on treatment guidelines, communicable diseases management such as malaria, Measles, Polio, acute watery diarrhoea for 5 days at the start and continuously medical education(CMEs) every 2 months. On job training will also be carried out on daily basis by the supervisors, program manager and clinician for low cadre staff to improve their skills. (L) Activity 2.3 Train midwives (4) on safe delivery, post abortion care, emergency obstetric and neonatal care for 5 days, then 2 monthly continuously medical education(CMEs) and on job trainings(OJT) (M) Indicator 2.1 Health Number of health workers trained in common illnesses, integratedTarget management19 of childhood illnesses, surveillance of communicable diseases and/or trauma management (N) Indicator 2.2 Health Number of IEC materials disseminated Target 1000 (O) Indicator 2.3 Health number of midwives trained on basic obstetric and neoanatal care(BeMoNc)Target 4 (P) Outcome 3 Mechanisms for the prevention, control of outbreaks and early warning systems and response established. (Q) Activity 3.1 (R) Activity 3.2 Acute watery diarrhoea/Cholera awareness creation specially during Cholera peak months-March/April and September/October (S) Activity 3.3 Timely and regular reporting of epidemics of malaria, acute watery diarrhoea, measles and suspected polio to WHO and health cluster through integrated disease and surveillance reports(IDSR) on weekly basis. (T) Indicator 3.1 Health Target 0 (U) Indicator 3.2 Health Number of awareness sessions conducted on epidemic diseasesTarget in Jillib district 2 (V) Indicator 3.3 Health Proportion (100%) of reported surveillance system in Jilib DistrictTarget on weekly basis100 to WHO. (W) Implementation Plan* Describe how you plan to implement these activities (maximum 1500 characters) 5. MONITORING AND EVALUATION (to be completed by organization) (A) Describe how you will monitor, evaluate and report on your project activities and achievements, including the frequency of monitoring, methodology (site visits, observations, remote monitoring, external evaluation, etc.), and monitoring tools (reports, statistics, photographs, etc.). Also describe how findings will be used to adapt the project implementation strategy. (maximum 1500 characters) * (B) Work Plan Timeframe Must be in line with the log frame. Please select 'weeks' for projects up to 6 months, and 'months' for projects up to 12 months Mark "X" to indicate the period Activity Week 1-4 Week 5-8 Week 9-12 Week 13-16 Week 17-20 Week 20-24 activity will be carried out 1.1* X 1.2 X 1.3 X 2.1 X 2.2 X 2.3 X 3.1 X 3.2 X 3.3 X

6. OTHER INFORMATION (to be completed by organization) (A) Coordination with other Organization Activity activites in project area 1 WHO information sharing List any other activities by your or 2 Zamzam foundation contribute to monthly health cluster Bulletin any other organizations, in 3 3. Health cluster collaboration particular those in the same 4 X cluster, and describe how you 5 will coordinate your proposed 6 activities with them 7 8 9 10

(B) Cross-Cutting Themes Write activity Please indicate if the project number(s) from supports a Cross-Cutting Outline how the project supports the selected Cross-Cutting Cross-Cutting Themes (Yes/No) section 4 that theme(s) and briefly describe Themes. supports Cross- how. Refer to Cross-Cutting Cutting theme. respective guidance note Gender Yes The project has seriously mainstreamed gender from the conception; Capacity Building